What are the ACP recommendations for screening men for osteoporosis?

Updated: Sep 26, 2019
  • Author: Monique Bethel, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

The American College of Physicians (ACP) has similar recommendations for screening of osteoporosis in men, including periodic evaluation of risk factors in older men before age 65 years (particularly men who do not choose to be screened) and obtaining DXA for men at increased risk for the disease who are candidates for drug therapy. [97] Risk factors for osteoporosis in men include the following [97] :

  • Age older than 70 years

  • Low body weight (body mass index [BMI] < 20 to 25 kg/m2)

  • Greater than 10% weight loss (relative to the usual young or adult weight or weight loss in recent years)

  • Physical inactivity

  • Corticosteroid use

  • Androgen deprivation therapy

  • Previous fragility fracture

Like the USPSTF, the ACP recommends further research to assess osteoporosis screening tests in men, to determine whether risk factors for osteoporosis in women also apply to men. [97]


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